What Are You Worried About? Content and Extent of Worry in Autistic Adults

J Autism Dev Disord. 2024 May;54(5):2040-2054. doi: 10.1007/s10803-023-05963-2. Epub 2023 Mar 29.

Abstract

Autistic adults commonly experience anxiety and worry, although knowledge on how worry presents and the content, extent, and experiences among autistic adults is limited. A convergent parallel mixed-methods approach was used to explore the presentation and experiences of worry in autistic and non-autistic adults. Quantitative surveys were used to compare the content and extent of worry in autistic adults to non-autistic adults, with semi-structured interviews also conducted with autistic adults to gain a deeper understanding of the experiences, impacts and content of worry in autistic adults. Findings indicated that autistic adults demonstrated clinically significant levels of worry which were substantially higher than non-autistic adults. Autistic adults described worry as a cycle of negative thoughts impacting their daily life. Findings indicate that autistic adults may worry more than non-autistic adults, impacting on participation in activities of daily living, sleep, and mental health.

Keywords: Anxiety; Autism spectrum disorders; Depression; Worry.

MeSH terms

  • Activities of Daily Living* / psychology
  • Adolescent
  • Adult
  • Anxiety* / psychology
  • Autistic Disorder* / psychology
  • Female
  • Humans
  • Male
  • Mental Health
  • Middle Aged
  • Surveys and Questionnaires
  • Young Adult